| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,828 |
2,385 |
$312K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
731 |
299 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,836 |
1,144 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,947 |
1,242 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
41 |
$748.81 |
| 99215 |
Prolong outpt/office vis |
155 |
107 |
$747.34 |
| 90686 |
|
175 |
105 |
$533.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
181 |
101 |
$382.20 |
| 81002 |
|
1,026 |
582 |
$168.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
215 |
123 |
$157.50 |
| 81025 |
|
115 |
64 |
$50.50 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
150 |
62 |
$2.31 |
| 1034F |
|
283 |
134 |
$0.00 |
| 3074F |
|
1,325 |
712 |
$0.00 |
| 3079F |
|
684 |
383 |
$0.00 |
| 1036F |
|
1,093 |
570 |
$0.00 |
| 3008F |
|
1,612 |
847 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
95 |
74 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |
| 3075F |
|
119 |
74 |
$0.00 |
| 90656 |
|
33 |
18 |
$0.00 |
| 3078F |
|
828 |
457 |
$0.00 |
| 1160F |
|
203 |
131 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 1159F |
|
205 |
132 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
23 |
13 |
$0.00 |